Provider Demographics
NPI:1801013958
Name:BENSON, LORI KAY (MT-BC)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:KAY
Last Name:BENSON
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2685 S WINONA CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80219-5644
Mailing Address - Country:US
Mailing Address - Phone:303-667-3664
Mailing Address - Fax:
Practice Address - Street 1:2900 S UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-6029
Practice Address - Country:US
Practice Address - Phone:303-667-3664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist